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,, <br />, <br />,--- �-_ _� j- - � � ; <br />everett � <br />� �� � � �� -. � {- <br />City of Everett I <br />Engineering �epartment <br />Sewer Application anc� Perrv�it <br />�� ' ' � DATE <br />NO. ��_U-�-�, <br />Service Address Utility Account No. <br />Billing Address — <br />Connection Permit I <br />City, State, Zip ' <br />Connection Fee_ <br />Owner (Mortaagor) Total Fee _ <br />Billing Name <br />Connec:ion By " <br />Address Signed <br />Phone --- — -------- — <br />DESCRIPTION: <br />Lot <br />Block _- — <br />Division or Addition -- -- <br />Remarks: <br />SEE SKETCH ATTACHED <br />Cualomer <br />_ Scrder Dis�nct— -- - <br />Monthly Sewer Service <br />� Monthly Sewer Constr <br />� <br />Approved By ` � <br />Ciry Engmeer , <br />Issued By - <br />Conneciion By — <br />Inspection By �`� �`'"```—" <br />i /� , <br />Date I iL,pected____ ! -- -- <br />/, <br />